The regenerative surgical treatment of intra-bony peri-implantitis defects with Endobon® (test) versus an established bovine derived bone mineral (control)
- Conditions
- infecties rondom tand implantatenperi-implant bony defectsperi-implant infection
- Registration Number
- NL-OMON42142
- Lead Sponsor
- Vrije Universiteit
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 40
• During surgical exploration an intra-bony component of at least 3 mm at the deepest point must be present.
• The defect should have a minimum of 3 osseous walls (a circumference of the osseous defect of at least 270 degrees). Only 3 and 4 wall intraosseous defects will be included.
• The defect must not be wider than 4 mm and the defect angle must be less than 35 degrees from axis of implant.
• Subjects with diabetes mellitus (HbAlc >= 6.5%)
• Subjects taking corticosteroids or other anti-inflammatory prescription drug
• Subjects taking medications known to induce gingival hyperplasia
• Subjects must not be allergic to penicillin or metronidazole
• Subjects with a history of taking systemic antibiotics in the preceding month
• Subjects must not be pregnant or lactating
• Implants placed in grafted bone or previously augmented with bone substitute or other type of regenerative material
• If stability of the Endobon® granules or control granules cannot be accomplished in the defect
• Failure of obtaining soft tissue closure
• Mobile implants
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>The main study parameter is radiographic vertical reduction of the intra-bony<br /><br>peri-implantitis defects for test and control groups at 6 and 12 months after<br /><br>surgery. The difference in defect fill will be measured on the basis of<br /><br>standardized intra-oral periapical radiographs taken with individualized<br /><br>holders at baseline, and 6 and 12 months after surgery.</p><br>
- Secondary Outcome Measures
Name Time Method <p>The secondary objectives to evaluate are:<br /><br>1) clinical parameters (pocket probing depth [PPD], clinical attachment level<br /><br>[CAL] from stent margin, bleeding on probing, presence /absence pus)<br /><br>2) patient centered outcomes (subjective satisfaction)<br /><br>3) graft morbidity<br /><br>4) esthetics</p><br>